Jer Quaren Case Study

The tantalizing aroma of fresh brewed coffee pulls customers into Pour Jons Coffee and Vinyl Shop and the smiling faces inside encourage them to stay. Chris and Emily Moore, husband and wife duo and co-owners of the shop, greet customers as the walk through the doors.

Behavioral Goal: Robert will increase adaptive coping skills when presented with conflictual interactions with others.

Intervention: MHP, Santonias MHS and family members discuss Santonias display of behaviors and the use of practicing conflict skills. MHP listened to MHS concerns of Santonias display of choices and struggling to use simple problem solving skills. MHP and Santonias role play two scenarios for Santonias to practice walking away, asking for assistance form an adults and talking to MHS with fear of getting in trouble. MHS listen and praise Santonias for expressing his emotions about display of behaviors.

Juwan responded well to the intervention. Juwan is making progress towards his goals. Juwan stated, being yelled at, embarrassment, being hit, being call names, being teased, being provoked, being disappointment, being treated unfairly and privileges taken away. Juwan completed the worksheet. Juwan rated his frustration level at 8 and his anxiety level a 5. Juwan stated, walk away, using calming techniques, asking for time out, asking someone else to help with the situation and resolving the situation in a calming manner. Juwan completed the worksheet. Juwan stated that he get angry at home a lot because his older brother provoke him and his mom treats him unfairly, by making him do most of the chores at home. Juwan stated that every time he

A: MHP utilized cognitive techniques along with behavioral interventions. MHP taught Jer'Quaren how to identify irrational thoughts. MHP explained the relationship between thoughts and feelings. MHP taught Jer'Quaren different ways to look at and respond to negative thoughts. MHP practiced new behaviors with Jer'Quaren. MHP provided reinforcements for positive behavior.

Intervention: MHP taught Colton how to identify situations, thoughts, and feelings that trigger angry feelings, problem behaviors and targets of those actions. MHP taught Colton calming techniques (e.g., muscle relaxation, paced breathing, and calming imagery) as part of tailored strategy for responding appropriately to angry thoughts and feelings when they occur. MHP taught Colton the thought stopping technique and assign implementation on a daily basis between; reinforcing success and providing corrective feedback toward improvement. MHP taught Colton conflict resolution skills.

QP provided Zachariah with a CBT activity geared towards “Hurtful moves, helpful moves”. QP explained to Zachariah that the activity will help him to identify feelings, self-talk, and beliefs experiences during difficult situations, to learn how to change negative and unhelpful feelings, self-talk, and beliefs to positive helpful ones and make behavior changes. QP asked Zachariah to list some behaviors he would like to change. QP asked Zachariah to list some behavior he has changed or reduce the frequency of doing since starting IIH services. QP brainstormed with Zachariah the consequences for bad behavior. QP pointed out to Zachariah that feelings, thinking and beliefs, influence how a person chooses to respond to a situation QP explained

QP provided Nasir with a worksheet on negative thinking in which he had to turn into positive thinking. QP practice with Nasir positive self-talk. QP asked Nasir, if he does positive self-talk. QP explained to Nasir, how to do positive self-talk to help him with calming self-down when having angry thoughts. QP encouraged Nasir in talking about a recent anger situation that cause him to have negative anger thoughts. QP discussed with Nasir, how negative anger thoughts can cause an anger situation to escalate. QP assisted Nasr in listing some consequences for responding to negative thoughts with anger. QP reviewed with Nasir anger management skills and techniques. QP practice with Nasir breathing techniques he can use to help calm himself down when having negative anger thoughts that can lead to anger. QP asked Nasir to explain, how he feels after respond negatively to an anger thought. QP discussed with Nasir, how to do positive thinking. QP asked Nasir, if he would like to discussed anything that is bothering him. QP provided Nasir with the opportunity to express his feeling and thoughts during the session. QP provided Nasir with words of encouragement and praises as he participated in the session QP ended the session by reminding Nasir of the next scheduled

A: MHP educated Jer’Quaren about the link between feelings and reactive behaviors. MHP taught Jer’Quaren efficient communication and assertiveness skills. MHP taught Jer’Quaren skills to help discover the factors that contribute to his blaming pattern. MHP taught Jer’Quaren meditation and self-control strategies to help convey his anger through suitable statements and healthy physical outlets. MHP provided a worksheet about anger management. MHP provided reinforcements for positive behavior.

Staff arrived to 318 to greet Aj, who was occupying his time on his iPad. Staff went over Aj’s schedule and behavioral expectations with him for the day. Aj was able make a purchase at 5 below before going to work. While in 5 below, Aj was given some options as to what items he desired. Aj then appropriately interacted with the cashier while paying for his items. When arriving to Foster Boys, Aj needed some prompting to begin working. Aj too frequent breaks to avoid his tasks. Staff encouraged Aj to continue working and provided him with social and edible reinforcement when on task. Aj was able to build some momentum and increase his productivity for the remaining duration of work. When finished working, AJ was able to purchase his lunch. Aj returned to 318 where he

QP provided Zachariah with a CBT activity geared towards experiencing anger in the body. QP explained to Zachariah that the activity will make him understand how anger works in the body and how to deal with anger in a positive way. QP asked Zachariah to list some ways he deals with anger. QP asked Zachariah to list his triggers of anger. QP brainstormed with Zachariah the consequences of anger. QP Zachariah to list some consequences of anger for him. QP asked Zachariah to explain the last time he got angry, and explain how he dealt with it. QP assisted Zachariah in identifying alternatives, ways he can deal with his anger. QP asked Zachariah to list some feelings that are associated with his anger. QP asked Zachariah to explain how he knows

MSTT met with Quaiesha and evaluated her lack of impulse control and controlling her anger. MSTTexplained to Quaiesha how her lack of impulse control in getting her into trouble not only at home but also at school. Quaiesha was able to admit she does have anger issues but do not know how to control it. She also stated she would like to be able to control her anger because her lack of control over her anger have caused her to lose close friends. MSTT worked with Quaiesha on figuring out what is the source of her anger and when she believe it started to get out of control or when she lost control. MSTT will continue to work with Quaiesha on getting control over her

Intervention: MHP, Isaiah, and MHS discuss goals created from past reports and current behaviors. MHP, Isaiah and MHS review IPOC goals and interventions. MHP answer questions from MHS and Isaiah. MHP request for Isaiah and MHS to sign the IPOC. MHP encourages MHS and Isaiah to ask questions to ensure complete understanding of interventions and outcomes to be successful.

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